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González‐Mariño I, Baz‐Lomba JA, Alygizakis NA, Andrés‐Costa MJ, Bade R, Barron LP, Been F, Berset J, Bijlsma L, Bodík I, Brenner A, Brock AL, Burgard DA, Castrignanò E, Christophoridis CE, Covaci A, de Voogt P, Devault DA, Dias MJ, Emke E, Fatta‐Kassinos D, Fedorova G, Fytianos K, Gerber C, Grabic R, Grüner S, Gunnar T, Hapeshi E, Heath E, Helm B, Hernández F, Kankaanpaa A, Karolak S, Kasprzyk‐Hordern B, Krizman‐Matasic I, Lai FY, Lechowicz W, Lopes A, López de Alda M, López‐García E, Löve ASC, Mastroianni N, McEneff GL, Montes R, Munro K, Nefau T, Oberacher H, O'Brien JW, Olafsdottir K, Picó Y, Plósz BG, Polesel F, Postigo C, Quintana JB, Ramin P, Reid MJ, Rice J, Rodil R, Senta I, Simões SM, Sremacki MM, Styszko K, Terzic S, Thomaidis NS, Thomas KV, Tscharke BJ, van Nuijs ALN, Yargeau V, Zuccato E, Castiglioni S, Ort C, Terzic S, Thomaidis NS, Thomas KV, Tscharke BJ, Udrisard R, van Nuijs ALN, Yargeau V, Zuccato E, Castiglioni S, Ort C. Spatio-temporal assessment of illicit drug use at large scale: evidence from 7 years of international wastewater monitoring. Addiction 2020; 115:109-120. [PMID: 31642141 PMCID: PMC6973045 DOI: 10.1111/add.14767] [Citation(s) in RCA: 129] [Impact Index Per Article: 32.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 07/15/2019] [Accepted: 07/23/2019] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS Wastewater-based epidemiology is an additional indicator of drug use that is gaining reliability to complement the current established panel of indicators. The aims of this study were to: (i) assess spatial and temporal trends of population-normalized mass loads of benzoylecgonine, amphetamine, methamphetamine and 3,4-methylenedioxymethamphetamine (MDMA) in raw wastewater over 7 years (2011-17); (ii) address overall drug use by estimating the average number of combined doses consumed per day in each city; and (iii) compare these with existing prevalence and seizure data. DESIGN Analysis of daily raw wastewater composite samples collected over 1 week per year from 2011 to 2017. SETTING AND PARTICIPANTS Catchment areas of 143 wastewater treatment plants in 120 cities in 37 countries. MEASUREMENTS Parent substances (amphetamine, methamphetamine and MDMA) and the metabolites of cocaine (benzoylecgonine) and of Δ9 -tetrahydrocannabinol (11-nor-9-carboxy-Δ9 -tetrahydrocannabinol) were measured in wastewater using liquid chromatography-tandem mass spectrometry. Daily mass loads (mg/day) were normalized to catchment population (mg/1000 people/day) and converted to the number of combined doses consumed per day. Spatial differences were assessed world-wide, and temporal trends were discerned at European level by comparing 2011-13 drug loads versus 2014-17 loads. FINDINGS Benzoylecgonine was the stimulant metabolite detected at higher loads in southern and western Europe, and amphetamine, MDMA and methamphetamine in East and North-Central Europe. In other continents, methamphetamine showed the highest levels in the United States and Australia and benzoylecgonine in South America. During the reporting period, benzoylecgonine loads increased in general across Europe, amphetamine and methamphetamine levels fluctuated and MDMA underwent an intermittent upsurge. CONCLUSIONS The analysis of wastewater to quantify drug loads provides near real-time drug use estimates that globally correspond to prevalence and seizure data.
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Affiliation(s)
- Iria González‐Mariño
- Institute for Food Analysis and Research, Department of Analytical ChemistryUniversidade de Santiago de CompostelaSantiago de CompostelaSpain,Faculty of Chemical Sciences, Department of Analytical Chemistry, Nutrition and BromatologyUniversity of SalamancaSalamancaSpain
| | | | - Nikiforos A. Alygizakis
- Department of Chemistry, Laboratory of Analytical ChemistryNational and Kapodistrian University of AthensAthensGreece
| | | | - Richard Bade
- School of Pharmacy and Medical SciencesUniversity of South AustraliaAdelaideSouth AustraliaAustralia
| | - Leon P. Barron
- King's ForensicsSchool of Population Health and Environmental Sciences, King's College LondonLondonUK
| | - Frederic Been
- KWR Water Research InstituteNieuwegeinthe Netherlands
| | | | - Lubertus Bijlsma
- Research Institute for Pesticides and Water, University Jaume ICastellónSpain
| | - Igor Bodík
- Department of Environmental Engineering, Faculty of Chemical and Food TechnologySlovak University of TechnologyBratislavaSlovakia
| | - Asher Brenner
- Unit of Environmental EngineeringBen‐Gurion University of the NegevBeer‐ShevaIsrael
| | - Andreas L. Brock
- Department of Environmental EngineeringTechnical University of DenmarkKongens LyngbyDenmark
| | | | - Erika Castrignanò
- Department of ChemistryUniversity of BathBathUK,Department of Analytical, Environmental and Forensic SciencesKing's College LondonLondonUK
| | | | - Adrian Covaci
- Department of Pharmaceutical SciencesToxicological CenterAntwerpBelgium
| | - Pim de Voogt
- IBEDUniversity of AmsterdamAmsterdamthe Netherlands
| | - Damien A. Devault
- Université Paris‐Sud, CNRS, AgroParisTech, Université Paris‐SaclayChatenay‐MalabryFrance
| | - Mário J. Dias
- National Institute of Legal Medicine and Forensic SciencesLisbonPortugal
| | - Erik Emke
- KWR Water Research InstituteNieuwegeinthe Netherlands
| | - Despo Fatta‐Kassinos
- NIREAS‐International Water Research Center, Department of Civil and Environmental EngineeringUniversity of CyprusNicosiaCyprus
| | - Ganna Fedorova
- Faculty of Fisheries and Protection of WatersUniversity of South Bohemia in Ceske BudejoviceZatisiCzech Republic
| | - Konstantinos Fytianos
- Environmental Pollution Control Laboratory, Chemistry DepartmentAristotle University of ThessalonikiThessalonikiGreece
| | - Cobus Gerber
- School of Pharmacy and Medical SciencesUniversity of South AustraliaAdelaideSouth AustraliaAustralia
| | - Roman Grabic
- Faculty of Fisheries and Protection of WatersUniversity of South Bohemia in Ceske BudejoviceZatisiCzech Republic
| | - Stefan Grüner
- Chair of Urban Water ManagementTechnische Universität DresdenDresdenGermany
| | - Teemu Gunnar
- Forensic ToxicologyNational Institute for Health and Welfare (THL)HelsinkiFinland
| | - Evroula Hapeshi
- NIREAS‐International Water Research Center, Department of Civil and Environmental EngineeringUniversity of CyprusNicosiaCyprus
| | - Ester Heath
- Department of Environmental SciencesJožef Stefan InstituteLjubljanaSlovenia
| | - Björn Helm
- Chair of Urban Water ManagementTechnische Universität DresdenDresdenGermany
| | - Félix Hernández
- Research Institute for Pesticides and Water, University Jaume ICastellónSpain
| | - Aino Kankaanpaa
- Forensic ToxicologyNational Institute for Health and Welfare (THL)HelsinkiFinland
| | - Sara Karolak
- Université Paris‐Sud, CNRS, AgroParisTech, Université Paris‐SaclayChatenay‐MalabryFrance
| | | | - Ivona Krizman‐Matasic
- Division for Marine and Environmental ResearchRudjer Boskovic InstituteZagrebCroatia
| | - Foon Yin Lai
- Department of Aquatic Sciences and AssessmentSwedish University of Agricultural Sciences (SLU)UppsalaSweden
| | | | - Alvaro Lopes
- Faculty of PharmacyUniversity of LisbonLisbonPortugal
| | - Miren López de Alda
- Water and Soil Quality Research Group, Department of Environmental ChemistryInstitute of Environmental Assessment and Water Research (IDAEA‐CSIC)BarcelonaSpain
| | - Ester López‐García
- Water and Soil Quality Research Group, Department of Environmental ChemistryInstitute of Environmental Assessment and Water Research (IDAEA‐CSIC)BarcelonaSpain
| | - Arndís S. C. Löve
- Department of Pharmacology and ToxicologyUniversity of IcelandReykjavíkIceland
| | - Nicola Mastroianni
- Water and Soil Quality Research Group, Department of Environmental ChemistryInstitute of Environmental Assessment and Water Research (IDAEA‐CSIC)BarcelonaSpain
| | - Gillian L. McEneff
- King's ForensicsSchool of Population Health and Environmental Sciences, King's College LondonLondonUK
| | - Rosa Montes
- Institute for Food Analysis and Research, Department of Analytical ChemistryUniversidade de Santiago de CompostelaSantiago de CompostelaSpain
| | - Kelly Munro
- King's ForensicsSchool of Population Health and Environmental Sciences, King's College LondonLondonUK
| | - Thomas Nefau
- Université Paris‐Sud, CNRS, AgroParisTech, Université Paris‐SaclayChatenay‐MalabryFrance
| | - Herbert Oberacher
- Institute of Legal Medicine and Core Facility MetabolomicsMedical University of InnsbruckInnsbruckAustria
| | - Jake W. O'Brien
- Queensland Alliance for Environmental Health Sciences (QAEHS)The University of QueenslandWoolloongabbaQLDAustralia
| | - Kristin Olafsdottir
- Department of Pharmacology and ToxicologyUniversity of IcelandReykjavíkIceland
| | - Yolanda Picó
- Food and Environmental Safety Research GroupUniversity of ValenciaMoncadaSpain
| | - Benedek G. Plósz
- Department of Environmental EngineeringTechnical University of DenmarkKongens LyngbyDenmark,Department of Chemical EngineeringUniversity of BathBathUK
| | - Fabio Polesel
- Department of Environmental EngineeringTechnical University of DenmarkKongens LyngbyDenmark
| | - Cristina Postigo
- Water and Soil Quality Research Group, Department of Environmental ChemistryInstitute of Environmental Assessment and Water Research (IDAEA‐CSIC)BarcelonaSpain
| | - José Benito Quintana
- Institute for Food Analysis and Research, Department of Analytical ChemistryUniversidade de Santiago de CompostelaSantiago de CompostelaSpain
| | - Pedram Ramin
- Department of Environmental EngineeringTechnical University of DenmarkKongens LyngbyDenmark,Process and Systems Engineering Center (PROSYS), Department of Chemical and Biochemical EngineeringTechnical University of DenmarkKongens LyngbyDenmark
| | | | - Jack Rice
- Department of ChemistryUniversity of BathBathUK
| | - Rosario Rodil
- Institute for Food Analysis and Research, Department of Analytical ChemistryUniversidade de Santiago de CompostelaSantiago de CompostelaSpain
| | - Ivan Senta
- Division for Marine and Environmental ResearchRudjer Boskovic InstituteZagrebCroatia
| | - Susana M. Simões
- National Institute of Legal Medicine and Forensic SciencesLisbonPortugal
| | - Maja M. Sremacki
- Faculty of Technical Sciences, Department of Environmental Engineering and Occupational SafetyUniversity of Novi SadNovi SadSerbia
| | - Katarzyna Styszko
- Department of Coal Chemistry and Environmental SciencesAGH University of Science and TechnologyKrakowPoland
| | - Senka Terzic
- Division for Marine and Environmental ResearchRudjer Boskovic InstituteZagrebCroatia
| | - Nikolaos S. Thomaidis
- Department of Chemistry, Laboratory of Analytical ChemistryNational and Kapodistrian University of AthensAthensGreece
| | - Kevin V. Thomas
- Norwegian Institute for Water Research (NIVA)OsloNorway,Queensland Alliance for Environmental Health Sciences (QAEHS)The University of QueenslandWoolloongabbaQLDAustralia
| | - Ben J. Tscharke
- Queensland Alliance for Environmental Health Sciences (QAEHS)The University of QueenslandWoolloongabbaQLDAustralia
| | | | - Viviane Yargeau
- Department of Chemical EngineeringMcGill UniversityMontreal, QuebecCanada
| | - Ettore Zuccato
- Istituto di Ricerche Farmacologiche Mario Negri IRCCSMilanItaly
| | | | - Christoph Ort
- Eawag, Urban Water ManagementSwiss Federal Institute of Aquatic Science and TechnologyDübendorfSwitzerland
| | - Senka Terzic
- Division for Marine and Environmental Research, Rudjer Boskovic Institute, Zagreb, Croatia
| | - Nikolaos S Thomaidis
- Department of Chemistry, Laboratory of Analytical Chemistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Kevin V Thomas
- Norwegian Institute for Water Research (NIVA), Oslo, Norway.,Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Woolloongabba, QLD, Australia
| | - Ben J Tscharke
- Queensland Alliance for Environmental Health Sciences (QAEHS), The University of Queensland, Woolloongabba, QLD, Australia
| | - Robin Udrisard
- Ecole des Sciences Criminelles, University of Lausanne, Lausanne, Switzerland
| | | | - Viviane Yargeau
- Department of Chemical Engineering, McGill University, Montreal, Quebec, Canada
| | - Ettore Zuccato
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - Sara Castiglioni
- Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy
| | - Christoph Ort
- Eawag, Urban Water Management, Swiss Federal Institute of Aquatic Science and Technology, Dübendorf, Switzerland
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